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Tinnitus (PG)
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Course Curriculum
1. Which condition is commonly associated with tinnitus?
*
Sensorineural hearing loss
Chronic sinusitis
Otitis externa
Recurrent tonsillitis
2. Which lifestyle factor is known to exacerbate tinnitus in some individuals?
*
Daily exercise
Low-salt diet
Caffeine intake
Sunlight exposure
3. Which medication class is sometimes associated with tinnitus as a side effect?
*
Beta blockers
Antacids
Laxatives
Aminoglycosides
4. What initial investigation is recommended for persistent unilateral tinnitus?
*
CT head
Audiogram
Nasal endoscopy
Throat swab
5. Which of the following is NOT typically used in the management of tinnitus?
*
Hearing aids
Sound enrichment
CBT
Systemic corticosteroids
6. Which of the following is an appropriate self-help strategy for tinnitus?
*
Frequent ear syringing
Topical steroids
High-dose vitamin A
Use of white noise machines
7. What should be done for a patient with bothersome tinnitus and normal hearing?
*
Reassure and discharge
Prescribe antibiotics
Refer to ENT or audiology
Insert ear wick
8. Which of the following may be a red flag in tinnitus assessment?
*
Tinnitus after loud noise exposure
Unilateral tinnitus with hearing loss
Bilateral intermittent tinnitus
Transient tinnitus during stress
9. What is tinnitus?
*
Perception of sound without an external source
Pain in the ear canal
Sudden hearing loss
Vibration in the tympanic membrane
10. What type of tinnitus is more likely to have a physical source that can sometimes be heard by the examiner?
*
Psychoacoustic tinnitus
Subjective tinnitus
Non-organic tinnitus
Objective tinnitus
11. What is the role of cognitive behavioural therapy (CBT) in tinnitus?
*
Restore hearing
Cure the tinnitus
Reduce distress and improve coping
Eliminate earwax
12. What is the primary aim of tinnitus counselling?
*
Lower blood pressure
Prevent earwax build-up
Cure the underlying infection
Reduce distress and improve quality of life
13. Which imaging modality is preferred when investigating for vestibular schwannoma?
*
X-ray skull
MRI internal auditory meatus
Ultrasound ear canal
CT temporal bone
14. Which of the following is the most common form of tinnitus?
*
Subjective tinnitus
Pulsatile tinnitus
Conductive tinnitus
Objective tinnitus
15. Which neurological condition should be excluded in persistent unilateral tinnitus?
*
Multiple sclerosis
Acoustic neuroma
Parkinson's disease
Trigeminal neuralgia
16. What is pulsatile tinnitus typically associated with?
*
Tympanic membrane perforation
Vascular abnormalities
Benign positional vertigo
Nasal polyps
17. Which of the following is a common description of tinnitus?
*
Ringing or buzzing in the ears
Sharp stabbing pain
Whistling when swallowing
Echoing voices
18. Which type of tinnitus is caused by an identifiable external sound source?
*
Objective tinnitus
Subjective tinnitus
Conductive tinnitus
Sensorineural tinnitus
19. Which non-pharmacological approach is commonly used to help manage tinnitus?
*
Antibiotic drops
Steam inhalation
Sound therapy
Cold compresses
20. Which symptom combination may suggest Meniere’s disease?
*
Tinnitus and visual disturbance
Ear pain and discharge
Tinnitus, hearing loss, and vertigo
Fever and lymphadenopathy